Shaun Alexander Hardie

NPI #1043930332 in Portage, Wisconsin

Provider Information

NPI Number: 1043930332
Entity Type: Individual
Name: Shaun Alexander Hardie
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Aug 29, 2022
Last Updated: Aug 29, 2022

Practice Location

Address: 2639 NEW PINERY RD STE 1
City: Portage
State: Wisconsin
ZIP Code: 53901-1110
Phone: (608) 742-5020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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